KELLY ANN SOUZA (NPI# 1740826254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740826254 |
| Entity Type | Individual |
| Full Name | KELLY ANN SOUZA |
| Practice Address |
290 W Exchange Street Ste 101 Providence RI 02903 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 4012142330 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 3019502 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649731902 | Kelly Souza | Occupational Therapist | 10564 5th Ave Ne Ste 302, Seattle, WA 98125-7200 | 2019-03-28 |
| 1619365038 | Kelly Souza | Speech-Language Pathologist | 1101 Stroud Ave, Kingsburg, CA 93631-1016 | 2015-01-07 |
| Street Address |
290 W EXCHANGE STREET STE 101 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124527924 | Elizabeth Martinelli | Behavior Technician | 290 W Exchange Street, Ste 101, Providence, RI 02903 | 2018-02-07 |
| 1740821479 | Francesca Mercurio | Behavior Technician | 290 W Exchange Street, Suite 101, Providence, RI 02903 | 2019-10-03 |
| 1366097115 | Jeremy M Boucher | Behavior Technician | 290 W Exchange Street, Suite 101, Providence, RI 02903 | 2019-08-08 |
| 1043783129 | Tina Marie Lama | Behavior Technician | 290 W Exchange Street, Ste 101, Providence, RI 02903 | 2019-01-10 |
| 1255800363 | Caira Chantel Servrien | Behavioral Analyst | 290 W Exchange Street, Providence, RI 02903 | 2018-11-19 |
| 1396246591 | Jaritza Nirelys Reyes | Behavior Technician | 290 W Exchange Street, Ste 101, Providence, RI 02903 | 2018-02-22 |
| 1356840052 | Nathanyle Pine | Behavior Technician | 290 W Exchange Street, Suite 101, Providence, RI 02903 | 2018-02-08 |
| 1154820850 | James Edward Rollins Jr. | Behavior Technician | 290 W Exchange Street, Ste 101, Providence, RI 02903 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757606 | Zariyah Tarynn Davis | Behavior Technician | 1 Aldine St, Providence, RI 02909-3954 | 2020-10-11 |
| 1457975906 | Andrew Mcneil Hammer | Behavior Technician | 545 W 465 N Ste 150, Providence, UT 84332-8005 | 2020-06-01 |
| 1194357632 | Amanda Tarady Kem | Behavior Technician | 7 Barry Rd Apt 3, Providence, RI 02909-4226 | 2020-02-11 |
| 1235774258 | Flora Kennedy | Behavior Technician | 10 Dorrance St Ste 713, Providence, RI 02903-2018 | 2019-11-13 |
| 1043852965 | Victor Xavier Alicea | Behavior Technician | 25 Carol Ct, Providence, RI 02909-1702 | 2019-10-11 |
| 1184185746 | Heather Noelle Costigan | Behavior Technician | 84 Transit St Apt 1l, Providence, RI 02906-1073 | 2019-03-27 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1982103685 | Rebecca Shafer | Behavior Technician | 290 West Exchange Street, Ste 101, Providence, RI 02903 | 2018-02-08 |
| 1972002673 | Tianna Pizzo | Behavior Technician | 290 W Exchange St Ste 101, Providence, RI 02903 | 2018-02-08 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on KELLY ANN SOUZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.